Camarillo, CA

St. John's Hospital Camarillo D/P SNF

5-star overall rating with 5-star inspections with 5 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

2309 Antonio Avenue, Camarillo, CA

(805) 389-5848

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

99

Certified beds

Average residents

72

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Commonspirit Health

Operator or chain grouping

Approved since

1986-04-17

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

19 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

1.64

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

3.44

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

3.46

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

8.55

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

5.08

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

7.54

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

1.25

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.71

CMS adjusted RN staffing hours

Adjusted total hours

3.71

CMS adjusted total nurse staffing hours

Case-mix index

3.15

Higher values indicate more complex resident acuity

RN turnover

21%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

29%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,433

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

49.80

Composite VBP score used to determine payment impact.

Payment multiplier

1.0038

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

9.04

Baseline 99.34% · Performance 26.72% · Measure score 9.04 · Achievement 9.04 · Improvement 9

Adjusted total nurse staffing

0.92

Baseline 3.66 hours · Performance 3.34 hours · Measure score 0.92 · Achievement 0.92 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.47%
10.72%
0.2 pts better
No Different than the National Rate · Eligible stays 40 · Observed rate 10% · Lower 95% interval 6.88%
Discharge to community 62.17%
50.57%
11.6 pts better
No Different than the National Rate · Eligible stays 45 · Observed rate 55.56% · Lower 95% interval 49.47%
Medicare spending per beneficiary 1.06
1.02
About the same
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 19 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 1.65%
8.2%
6.5 pts worse
Numerator 4 · Denominator 242
Staff flu vaccination coverage 73.07%
42%
31.1 pts better
Numerator 491 · Denominator 672
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
98.5%
1.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
98.2%
1.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
1.6%
1.6 pts better
3.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 2.7%
6.8%
4.1 pts better
11.4%
8.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 6.1% · Q4 4.4% · 4Q avg 2.7%
Percentage of long-stay residents who lose too much weight 3.2%
4.1%
0.9 pts better
5.4%
2.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 5.8% · Q4 4.1% · 4Q avg 3.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.8%
13.7%
8.1 pts worse
19.6%
2.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 17.6% · Q3 18.6% · Q4 32.9% · 4Q avg 21.8%
Percentage of long-stay residents who received an antipsychotic medication 1.1%
14.2%
13.1 pts better
16.7%
15.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.8% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 3.9%
0.4%
3.5 pts worse
0.1%
3.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.9% · Q3 4.3% · Q4 4.1% · 4Q avg 3.9%
Percentage of long-stay residents whose need for help with daily activities has increased 16.7%
10.7%
6 pts worse
14.9%
1.8 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.2%
1.0%
0.8 pts better
1.0%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.4%
1.2%
0.2 pts worse
1.7%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.9% · Q3 1.4% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 1.6%
10.9%
9.3 pts better
19.8%
18.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.6%
Percentage of long-stay residents with pressure ulcers 28.0%
4.7%
23.3 pts worse
5.1%
22.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 30.8% · Q2 31.5% · Q3 28.2% · Q4 21.9% · 4Q avg 28.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
94.0%
6 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.5%
1.5 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 95.2%
93.2%
2 pts better
79.7%
15.5 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.2%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-10 · Fire 2025-04-10

5 health deficiencies

Top issue: Environmental (2 deficiencies)

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 2 Health 2024-03-07 · Fire 2024-03-07

9 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-03-24 · Fire 2023-03-24

8 health deficiencies

Top issue: Resident Assessment and Care Planning (6 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-04-10

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-05-01

E · Potential for more than minimal harm 2025-04-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-05-07

E · Potential for more than minimal harm 2025-04-10

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-10

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-10

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-05-01

C · Minimal harm 2025-04-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-05-01

E · Potential for more than minimal harm 2024-03-07

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-04-01

E · Potential for more than minimal harm 2024-03-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-03-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-01

F · Potential for more than minimal harm 2023-03-24

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-04-12

E · Potential for more than minimal harm 2023-03-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-04-12

D · Potential for more than minimal harm 2023-03-24

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-04-12

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-04-10

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-05-08

D · Potential for more than minimal harm 2025-04-10

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-05-08

D · Potential for more than minimal harm 2025-04-10

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-05-08

D · Potential for more than minimal harm 2025-04-10

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-05-08

D · Potential for more than minimal harm 2025-04-10

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-05-08

D · Potential for more than minimal harm 2024-08-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-07-23

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-08-13

E · Potential for more than minimal harm 2024-03-07

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-03-07

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-03-07

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-03-07

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-03-07

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-03-07

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-03-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-02

D · Potential for more than minimal harm 2023-10-19

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-10-27

D · Potential for more than minimal harm 2023-09-15

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2023-09-28

E · Potential for more than minimal harm 2023-03-24

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2023-05-01

E · Potential for more than minimal harm 2023-03-24

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-05-01

E · Potential for more than minimal harm 2023-03-24

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-04-03

E · Potential for more than minimal harm 2023-03-24

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-05-01

D · Potential for more than minimal harm 2023-03-24

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-03-24

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-05-01

Penalties and ownership

What sits behind the stars

$0 2023-03-24

Payment Denial

Payment Denial · denial start 2023-06-22 · 36 days

36 day denial

Ownership

Commonspirit Health

5% Or Greater Indirect Ownership Interest · Organization

100% 19 facilities 2019-02-01
Dignity Health

5% Or Greater Direct Ownership Interest · Organization

100% 3 facilities 1993-02-19
Carswell, Scott

Corporate Director · Individual

0% 3 facilities 2021-01-24
Commonspirit Health

Operational/Managerial Control · Organization

0% 19 facilities 2019-02-01
Melfi, Mitch

Corporate Director · Individual

0% 6 facilities 2021-01-27
Melfi, Mitch

Corporate Officer · Individual

0% 6 facilities 2021-01-27
Morissette, Daniel

Corporate Officer · Individual

0% 4 facilities 2019-02-01
O'quinn, Marvin

Corporate Director · Individual

0% 14 facilities 2021-01-27
O'quinn, Marvin

Corporate Officer · Individual

0% 14 facilities 2019-02-01
Petersdorf, John

Corporate Officer · Individual

0% 6 facilities 2022-11-14
Petersdorf, John

W-2 Managing Employee · Individual

0% 6 facilities 2019-02-01
Scharmann, Steven

Corporate Officer · Individual

0% 5 facilities 2022-11-14
Scharmann, Steven

W-2 Managing Employee · Individual

0% 5 facilities 2019-02-01
Shih, Elizabeth

Corporate Director · Individual

0% 2 facilities 2021-01-27
Shih, Elizabeth

Corporate Officer · Individual

0% 2 facilities 2019-02-01

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